Indonesian Journal of Neurosurgery最新文献

{"title":"Extraction of gunshot corpus allienum in upper cervical spine with transoral approach: A case report","authors":"N. K. Adji, Muhammad Yuda Nugraha","doi":"10.15562/ijn.v4i1.129","DOIUrl":"https://doi.org/10.15562/ijn.v4i1.129","url":null,"abstract":"Introduction: Penetrating trauma that caused by gunshot injuries have been reported about 17–21% of all spinal cord injuries. Transoral approach may facilitate accessing the lumens and sites such as upper cervical spine with minimally invasive surgical exposure. Here, we present an interesting case of removal a bullet in the cervical spine with new method. Case Presentation: A 53-year-old man who underwent a gunshot in the maxillary region of the face. A CT scan of head and neck showed that a metallic foreign body located in corpus vertebrae as high as C1-C2. The bullets in this patient were removed under the minimal invasive surgery through transoral approach. The patients were discharged without neurological deficit. Conclusion: The presented transoral approach can be used as minimal invasive surgery method to extract corpus allienum in upper cervical spinal region without spinal cord tissue damage.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124128242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of pre-surgical factors against degenerative lumbal patient surgical actions: evaluation using modified oswestry disability index and rolland morris","authors":"Yudha Fitrian Prasetyo, A. Bajamal, Hari Basuki","doi":"10.15562/ijn.v4i1.140","DOIUrl":"https://doi.org/10.15562/ijn.v4i1.140","url":null,"abstract":"Background: Lower back pain is the most common complaint in humans in their lives with a variety of heterogeneous substances that vary in their epidemiological studies. Several disability scales have been developed and developed for the assessment of low back pain patients as a measure of outcome of therapy. One of the preand post-operative evaluation methods that are widely used is the Modified Oswestry Disability Index (MODI) and the Rolland Morris Disability Index. This disability scale is a disability scale that assesses daily personal and social functions using a questionnaire method and has been extensively reviewed by various study centers so that it is widely used as a guide for operative evaluation Objective: the study is aimed to knowing the effect of pre-surgical factors on surgical outcome in degenerative lumbar patients evaluated using the Modified Oswestry and Rolland Morris disability scales. Methods: The study was conducted at the Dr. Soetomo General Academic Hospital by taking data from lumbar abnormality patients who were operated on in the period of 1 June 2018 until 30 June 2019. The data is processed by calculating the Modified Oswestry Disability Index score and the Rolland Morris Disability Index during pre and post-operative, then the variables are calculated with each categorical regression to assess the effect of each variable Results: Total sample of 42 with 31 samples fulfilling the inclusion criteria. There are 19 male sex samples and 12 female sex samples. From the age variable data, obtained the most age range at the age of 40-60 years. Whereas in the variable body mass index was obtained the most in samples with a range of values of 18.5-25. The adjusted R2 (coefficient of determination) result is 0.746 for MODI and adjusted R2 (coefficient of determination) result of 0.513 for Rolland Morris Disability Scale. Conclusion: There is an effect of sex, age, sitting working position and sacral slope factors on the outcome of surgical procedures in the degenerative lumbar patient evaluated with the Modified Oswestry disability scale. Whereas the age and sitting work position have an influence in surgical outcome in the patients evaluated with Rolland Morris scale. Number of intervention levels tend to have a significant effect on disability score difference.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131934649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Indonesian Central Nervous System Tumors Registry (Ina-CTR) : 7 years result from single institution of primary brain tumor epidemiology","authors":"Joni Wahyuhadi, Muhammad Fakhri Raiyan Pratama, Roidah Taqiyya Zahra Wathoni, Hari Basuki","doi":"10.15562/ijn.v4i1.142","DOIUrl":"https://doi.org/10.15562/ijn.v4i1.142","url":null,"abstract":"Background: Primary brain tumor is one of the most cases the neurosurgeon could found, despite good neurosurgery progress, still there is no epidemiologic data that collected from Indonesia as a low middle-income country in Asia. Objective: The Indonesian central nervous system tumors registry (Ina-CTR) aims to provide epidemiologic data on primary brain tumor in Indonesia and to provoke more wider data collection in Indonesia as a whole nation. Methods: We collect data from medical records retrospectively from all primary brain tumor patients that we operated in single centre, Dr. Soetomo general academic hospital, from 2012 to 2018. Data collected were gender, age, clinical manifestations, radiographic, operations, and histopathology. All patients underwent surgery for sampling whether biopsy, partial excision or total excision to obtain histopathological data. Results: A total of 1540 patients were diagnosed with primary brain tumors from 2012-2018. Brain tumors occurred in females more often than in males (female:male, 1.48:1). The most common tumor was meningioma 568 cases (36.9%). Gliomas 553 cases (35.9%), pituitary tumors 195 cases (12.7%), and nerve sheath tumors 92 cases (5.9%) followed in incidence. Glioblastomas accounted for 5.3% of all tumors and 41.8% of all gliomas. In children (<18 years), sellar region tumors (pituitary and craniopharyngioma), embryonal / primitive / medulloblastoma, and germ cell tumors were the most common tumors. Conclusion: This study should provide valuable information regarding the primary brain tumor epidemiology in Indonesia.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121188851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between CT scan density and hematoma age on chronic subdural hematoma cases","authors":"Zulfadli Rizky Akbar, A. Turchan, S. Utomo, D. Fauziah","doi":"10.15562/ijn.v4i1.135","DOIUrl":"https://doi.org/10.15562/ijn.v4i1.135","url":null,"abstract":"Background: Subdural hematomas (SDH) can occur in one in three people with severe head injuries. Subdural hematomas are increasingly being found with age. Study of correlation of histopathological changes in hematoma and radiological contents of cases of subdural hematoma are still very limited. Objective: In this research, SDH histopathological changes are expected to be a reference and consideration in the next invasive therapeutic action. This study also aims to look for other approaches in determining the therapeutic actions in acute subdural hematomas by comparing the clinical, radiological, and histopathological profiles of blood deposits from subdural hematomas Methods: This study is a clinical observational study with a cross sectional study approach. Primary data were obtained from all subdural hematoma patients. CT Scan was performed and the results were read by Radiologists. Hematoma blood samples was analysed microscopically and morphologically by Pathologist at our hospital. Results: The average value of CT Scan blood reading density of Chronic SDH patients in RSUD Dr. Soetomo which was operated on in 2018-2019 was 31.30 (± 11.47) HU with the smallest value of 4.0 and the largest 54 HU. Average day of events was 36 ± 36.66 days with the shortest occurrence day 12 days and the longest 150 days. There is an influence between the CT Scan reading density and the day of the incident. The calculation results obtained a negative correlation (r = -0.814; p <0.001) between the CT Scan density value and the day of occurrence. Statistical calculation of the coefficient B0 for the dependent variable (day of occurrence) is 147.557 and the coefficient of B1 for the HU value from the CT Scan reading is -3.417. In this study, the histology generally did not represent chronic SDH readings specifically. Conclusion: There’s a negative correlation between the number of incident days with the CT Scan density where the longer the event day the lower the CT Scan density value.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116093412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The correlation between the degree of traumatic brain injury based on the glasgow coma scale (GCS) and the emersion of post concussion syndrome (PCS) acute onset in the patients of post traumatic brain injury at Dr. M. Djamil Hospital Padang","authors":"Muhammad Reza Azriyantha, Syaiful Saanin, Hesty Lidya Ningsih","doi":"10.15562/ijn.v4i1.170","DOIUrl":"https://doi.org/10.15562/ijn.v4i1.170","url":null,"abstract":"Background: Traumatic brain injury is the main cause of death in the population under the age of 45 years, and the fourth leading cause of death in the entire of population. Based on the degree of traumatic brain injury, it is commonly categorized based on the Glasgow Coma Scale (GCS). Post-Concussion Syndrome (PCS) is the set of somatic, emotional / behavioral and cognitive symptoms that occur after a traumatic brain injury. Objective: The aim of this study was to find out the prevalence and correlation of the degree of traumatic brain injury based on the Glasgow Coma Scale (GCS) and the emersion of Post-Concussion Syndrome (PCS) acute onset in patients with head injuries Methods: This study was a cross-sectional analytic study of patients who experienced Post-Concussion Syndrome (PCS) after traumatic brain injury at DR. M. Djamil Hospital Padang in 2020 from June to November 2020. Data were collected by filling in a questionnaire (The Rivermead Post Concussion Symptoms Questionnaire) and medical record data of neurosurgical patients that met the inclusion and exclusion criteria. Results: It indicated that 70 patients were included in the inclusion criteria of this study. A total of 38 (54.3) respondents did not undergo the acute onset of PCS, meanwhile respondents who experienced acute onset of PCS were 32 (45.7) respondents. The results showed that 25 (67.6%) respondents with mild traumatic brain injury had PCS acute onset, while 4 (17.4%) respondents with moderate degree of traumatic brain injury had PCS acute onset, and 4 (17.4%) respondents had PCS acute onset PCS 3 (30%) respondents experienced severe traumatic brain injury with acute onset PCS and statistically the difference in the proportion of data from each of these variables was significant with a p-value of 0.0001. The results of statistical tests showed that p value> 0.05 on the correlation between PCS and GCS, thus, it can be concluded that there was no correlation between the direction of the relationship between PCS and GCS. Conclusion: There was no correlation between the degree of traumatic brain injury based on GCS and the incidence of PCS acute onset, either it was unidirectional or vice versa in patients with head injuries at RSUP M. Djamil Padang.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133103655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-powder Lateral Penetrating Craniocerebral Gunshot Wound in a 10-Year-Old Girl: A Case Report","authors":"C. Lauren, Donny Argie, E. Malelak, Reza Mawardy, Samuel Edhi Suranta, V. M. Junaidy, Y. Firmansyah","doi":"10.21203/rs.3.rs-89254/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-89254/v1","url":null,"abstract":"\u0000 Background: Non-powder lateral penetrating craniocerebral gunshot wounds (PCGW) is one of the lethal types of penetrating head injury. The mortality rate is higher in adults than in pediatric populations and influence by the clinical and radiologic findings as the important predictors for prognostication in patients with PGCW. Case Presentation: A 10-year-old girl presented with a gunshot wound to the head 1 day prior. She was accidentally shot by her brother with an air gun from approximately 2 feet from the gun barrel. She develops a loss of consciousness for 30 minutes and weakness over the left arm. In physical examination, the patient Glasgow Coma Scale (GCS) was E3 V5 M6, weakness on the left arm, and an entrance wound over the right temple without an exit wound. The skull X-ray show the pellet fragment and the computed tomography (CT) scan show the bullet track starting from the right frontotemporal towards the left parietooccipital region, damaging both hemispheres with associated intraventricular hemorrhage (IVH). She undergoes a craniotomy procedure to remove the bullet fragment, debridement of the necrotic tissue, and evacuating the blood clot the formed over the bullet track. The patient discharge after postoperative day 7 with good recovery of neurological function and good GCS and Glasgow Outcome Scale (GOS) score. After 6 months follow-up, neither a new deficit nor other signs and symptoms were developed.Conclusions: Non-powder PCGW can cause significant damage to the intracranial compartment, despite its low velocity. The mortality rate in pediatrics is lower than in adults population. The management mandated an urgent surgical procedure to remove any blood clot and debridement of any foreign bodies encountered. Such complications in short- or long term can be developed in any patients and should be treated expectantly.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133496669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Jarcho-Levin syndrome: A case report","authors":"W. Suryaningtyas, M. Parenrengi","doi":"10.15562/IJN.V3I1.93","DOIUrl":"https://doi.org/10.15562/IJN.V3I1.93","url":null,"abstract":"Open access: https://ina-jns.org/ Jarcho-Levin syndrome: A case report Wihasto Suryaningtyas1*, Muhammad Arifin Parenrengi","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122165527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical treatment in traumatic brain injury with critical glasgow coma scale (GCS): clinical outcome in a single center","authors":"Teddy Apriawan, Fitra Fitra","doi":"10.15562/ijn.v1i1.3","DOIUrl":"https://doi.org/10.15562/ijn.v1i1.3","url":null,"abstract":"Aims: The goal of this study was to analyze outcomes of the patients underwent surgery for traumatic brain injury (TBI) with critical Glasgow coma scale at Dr. Soetomo General Hospital Surabaya, Indonesia in term of mortality.Methods: All cases of critical TBI patients with hemorrhage was operated (evacuation craniotomy) from January 2015 - December 2016 at Dr. Soetomo General Hospital Surabaya, Indonesia. The data were retrospectively reviewed from the medical records. Information regarding patient age, sex, diagnoses, Glasgow Coma Scale (GCS), surgery type, and the outcome after surgery was collected and analyzed.Results: 36 samples were analyzed from the medical records of Dr. Soetomo hospital. The operation was performedfor the patients with epidural hemorrhage (EDH), subdural hemorrhage (SDH) and intracerebral hemorrhage (ICH). In the postoperative period, 83.78% (30 patients) of patients died and only 16.22% (6 patients) survived. Survived patients were followed until six months according to Glasgow Outcome Scale (GOS).As regard with the six-month evaluation of GOS, only 2 patients came out with good functional outcome (GOS Extended8), 2 patients came out with lower moderate disability (GOS Extended 5), and 2 patients with dead status (GOS Extended 1).Conclusions: In this retrospective study, overall 83.78% (30 patients) patients not survived but 16.22% (6 patients) survived. Two patients had better functional outcome after six months postoperative. The authors conclude that TBI patients with critical GCS should manage with surgery as indicated since good functional results can be obtained in some cases. Many factors affected the good and bad condition of the patient after craniotomy.Keywords: Critical GCS, hemorrhage evacuation craniotomy, GOS Extended","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130829020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic Third Ventriculostomy (ETV) versus Ventriculoperitoneal Shunt (VPS) for pediatric hydrocephalus: a meta-analysis","authors":"Mohamad Saekhu, E. S. Pujiastono, Fabianto Santoso","doi":"10.15562/IJN.V1I1.14","DOIUrl":"https://doi.org/10.15562/IJN.V1I1.14","url":null,"abstract":"Background:Using Endoscopic Third Ventriculostomy (ETV) or Ventriculoperitoneal Shunt (VPS) as standard technique of cerebrospinal fluid (CSF) diversion has been a debatable issue. To date, a meta-analysis on the best treatment for pediatric hydrocephalus is yet to be done. ETV has been reported to have successful outcomes in many studies. The objective of this meta-analysis is to know the effectiveness of ETV compared to VPS in pediatric hydrocephalus.Methods:This study used electronic articles published in PubMed, EBSCO, and Google Scholar from January 1990 until January 2017. Articles included were full-text observational study or randomized control trial in Bahasa or English. Surgical failure was compared for this meta-analysis. Statistical analysis was done by using Review Manager 5.Results:Five articles met our inclusion and exclusion criteria. The pooled risk ratio (ETV vs. VPS) of surgical failure was 0.95 [0.76, 1.19] for fixed effect model. This analysis had no or little heterogeneity (I2 = 18%; X2=0.25).Conclusion:In one year follow up, there is no superiority between both procedures in surgical failure. Limited studies have been conducted to compare the effectiveness of ETV compared with VPS for pediatric hydrocephalus management. Further studies comparing both treatments are required to know the best management for pediatric hydrocephalus.Keywords: ETV, VPS, pediatric hydrocephalus, meta-analysis","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133772501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Temporoparietal Gliosarcoma : A Case Report with Literature Review","authors":"F. Ahmad, B. Hernowo, A. Adam, M. Arifin","doi":"10.15562/ijn.v1i1.4","DOIUrl":"https://doi.org/10.15562/ijn.v1i1.4","url":null,"abstract":"Gliosarcoma (GSM) is a primary tumor of the central nervous systemcomposed of both malignant glial and sarcomatous elements. GSM isclassified as grade IV according to World Health Organization (WHO)and regarded as aggressive tumor and often requires both surgeryand radiotherapy. The incidence of GSM is between 1.8%-2.8% ofall malignant gliomas and thus represents an exceptionally rareneoplasm. Consequently, our knowledge about this entity is limited tosmall retrospective case series and case reports. Here, we describe acase of a 46-year-old male with progressive right extremity weakness,accompanied with aphasia. Imaging studies showed a tumor mass inthe left temporoparietal region. Surgery was performed and gross totalremoval was achieved. Histopathology finding established a diagnosisof GSM. The extremity weakness was improved postoperatively withina week.","PeriodicalId":206128,"journal":{"name":"Indonesian Journal of Neurosurgery","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126005184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}